Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.86 / $5.11	Facility		$2.85	$2.86	$5.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.86 / $3.04	Professional		$2.47	$2.86	$3.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $2.14	Facility		$1.71	$1.71	$2.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.72 / $2.99	Facility		$2.72	$2.72	$2.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $2.72	Professional		$2.72	$2.72	$2.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Facility		$3.04	$3.04	$3.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Professional		$3.04	$3.04	$3.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $5.26	Facility		$3.04	$3.04	$5.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.50	Professional		$3.04	$3.04	$3.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.16 / $3.16	Facility		$3.04	$3.16	$3.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.16 / $3.16	Professional		$3.04	$3.16	$3.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $555.00 / $74,999.25	Facility		$3.04	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $4.55	Professional		$3.04	$3.04	$4.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $4.38	Professional		$2.98	$2.98	$4.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Facility		$3.04	$3.04	$3.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.16	Professional		$3.04	$3.04	$3.16